Individual
MACKENZIE MARVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6192
(215) 829-8000
Mailing address
200 W WASHINGTON SQ APT 2109, PHILADELPHIA, PA 19106-3535
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW010787
PA
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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